Healthcare Provider Details

I. General information

NPI: 1306322201
Provider Name (Legal Business Name): ERICA SEYBOLD DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 E ARAPAHOE RD STE 100
CENTENNIAL CO
80112-4044
US

IV. Provider business mailing address

14000 E ARAPAHOE RD STE 100
CENTENNIAL CO
80112-4044
US

V. Phone/Fax

Practice location:
  • Phone: 303-632-3668
  • Fax: 303-632-3669
Mailing address:
  • Phone: 303-632-3668
  • Fax: 303-632-3669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number092404
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number092404
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code213EP0504X
TaxonomyPublic Medicine Podiatrist
License Number092404
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number879
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number092404
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: